The newest mantra in sick care is patient empowerment to make them effective consumers of care. The underlying assumption seems to be that by giving them the information they need, patients will make sick care decisions, and even health care decisions, that are not only in their own best interests, but, in so doing, in the interests of the society at large. Doctors are being asked to do the same thing. Unfortunately, it is virtually impossible to serve three or four masters. The problem is that asking patients to shop for care does not work.
We are a long way from true patient choice, and we may never get there, for several reasons:
Part of the problem is how we define "consumer" and how the actors engage in the play. Doctors are purchasing agents/influencers that make recommendations to the patient. The patient is the end user. Between the two are the people who actually pay for the tests, drugs, devices and procedures. If you are a sick care entrepreneur, you need to take this into consideration when you are doing customer discovery and trying to find early evangelists to help launch your product.
Yes, patients can make choices when it comes to elective, cash based care, and they do . They also make choices based on their perception of the quality of service, bedside manner and experience, most of which have little or no correlation with the quality of care.
The most expensive piece of technology in sick care is a doctor's mouse. Nothing gets done or ordered, aside from DIY medicine, which comes with its own poor choice perils, unless the doctor orders it. It is up to doctors to make smart choices in most instances, not the patient, and it will take substantial effort to change their behavior. We should concentrate on making doctors better purchase agents, and less about making patients better end users.
There is a lot of pain in the US sick care experience for most patients But, like going to an endodontists to get a root canal , there is a lot they can do to eliminate the pain and make the experience much more pleasurable. It doesn't do much good, though, if the dentist did the wrong thing or did it the wrong way or you responded to the treatment in such a way that your tooth died or fell out. But at least Dr. Endo got great Yelp reviews.
Arlen Meyers, MD, MBA is the President and CEO of the Society of Physician Entrepreneurs.
Arlen Meyers, MD, MBA is a professor emeritus of otolaryngology, dentistry, and engineering at the University of Colorado School of Medicine and the Colorado School of Public Health and President and CEO of the Society of Physician Entrepreneurs at www.sopenet.org. He has created several medical device and digital health companies. His primary research centers around biomedical and health innovation and entrepreneurship and life science technology commercialization. He consults for and speaks to companies, governments, colleges and universities around the world who need his expertise and contacts in the areas of bio entrepreneurship, bioscience, healthcare, healthcare IT, medical tourism -- nationally and internationally, new product development, product design, and financing new ventures. He is a former Harvard-Macy fellow and In 2010, he completed a Fulbright at Kings Business, the commercialization office of technology transfer at Kings College in London. He recently published "Building the Case for Biotechnology." "Optical Detection of Cancer", and " The Life Science Innovation Roadmap". He is also an associate editor of the Journal of Commercial Biotechnology and Technology Transfer and Entrepreneurship and Editor-in-Chief of Medscape. In addition, He is a faculty member at the University of Colorado Denver Graduate School where he teaches Biomedical Entrepreneurship and is an iCorps participant, trainer and industry mentor. He is the Chief Medical Officer at www.bridgehealth.com and www.cliexa.com and Chairman of the Board at GlobalMindED at www.globalminded.org, a non-profit at risk student success network. He is honored to be named by Modern Healthcare as one of the 50 Most Influential Physician Executives of 2011 and nominated in 2012 and Best Doctors 2013.